Organization
IN HOME HEALTH, LLC
Active
Other names
ProMedica Hospice (San Rafael)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT)
(419) 252-5500
Entity
Organization
Contact information
Practice address
1050 NORTHGATE DR, SUITE 400, SAN RAFAEL, CA 94903-2526
(415) 472-2637
(415) 479-8609
Mailing address
PO BOX 10086, TOLEDO, OH 43699-0086
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
01/23/2022
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